| NPI | 1851881908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041399844) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-09-15 |